8 results
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... nausea, vomiting, abdominal ... develops (DIC, ascites ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... of portal HTN: ascites ... metastasis • ... Fatty liver of pregnancy
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... On cipro for sbp ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
POCUS - Enhanced ... anteriorly over the RUQ ... peritoneum and liver ... #POCUS #EPSS #clinical ... #ultrasound #radiology
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... Diagnosis? ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
with abd pain/low BP ... POCUS Liver TRV ... Diagnosis? ... #clinical #ultrasound ... #RUQ
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver